INTRODUCTION When we talk about what it takes to compete at the highest level, we talk about talent. We talk about work ethic, coaching, genetics, and opportunity. What we rarely talk about is what it takes to do all of that while your own body is working against you every single day. For athletes living with chronic illness: Crohn's disease, lupus, type 1 diabetes, ulcerative colitis, and others, that is not a hypothetical. It is Tuesday morning. It is game day. It is every